Competency Assessment Record
Competency Assessment Record
Psychiatric Nurse
Employee Name______________________________________________________ Date:__________________
Directions: Mark the box that most appropriately describes your ability to perform the listed procedure/ task
| Clinical Skills | ||||||||
| Rating Scale: | N = Never performed | |||||||
| R = Have done it but request review/ learning experience | ||||||||
| C = Competent | ||||||||
| Procedure / Task | N | R | C | Competency | Observers | Comments | ||
| Validation Date | Initials | |||||||
1. ASSESSMENT SKILLS |
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| Mental Status Exam | ||||||||
| Psychiatric/Family History | ||||||||
| Homebound Status | ||||||||
| Substance Abuse/ Use | ||||||||
| Suicide Assessment | ||||||||
2. PSYCHIATRIC EMERGENCIES |
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| Suicide | ||||||||
| Homicide | ||||||||
| Unable to meet basic needs | ||||||||
3. PSYCHIATRIC MEDICATION CONSIDERATIONS |
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| Parenteral long-acting neuroleptics | ||||||||
| Clozapine protocol | ||||||||
| Neuroleptic malignant syndrome | ||||||||
| Tardive dyskinesia | ||||||||
| Extrapyramidal side effects | ||||||||
| Akathesia | ||||||||
| AIMS test | ||||||||
| Orthostatic changes | ||||||||
| MAOI precautions/ restrictions | ||||||||
| Med level monitoring / toxicity | ||||||||
4. PSYCHIATRIC TREATMENT CONSIDERATIONS |
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| Light treatment | ||||||||
| ECT and side effects | ||||||||
| Rating Scale: | N = Never performed | |||||||
| R = Have done it but request review/ learning experience | ||||||||
| C = Competent | ||||||||
5. PSYCHIATRIC NURSING INTERVENTIONS |
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| Crisis intervention | ||||||||
| Reality orientation | ||||||||
| Problem-solving/ coping | ||||||||
| Stress Management/ Relaxation | ||||||||
| Behavior management | ||||||||
| Cognitive therapy strategies | ||||||||
| Grief work | ||||||||
| Social skills training | ||||||||
| Reminiscence therapy | ||||||||
| Goal-setting | ||||||||
| Exercise | ||||||||
| Sleep hygiene | ||||||||
| Medication management | ||||||||
| Leisure Time Management | ||||||||
| Nutrition / Weight Management | ||||||||
6. UNDERSTANDING DSM DIAGNOSES |
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| Axis I | ||||||||
| Axis II | ||||||||
| Axis III | ||||||||
| Axis IV | ||||||||
| Axis V (Global Assessment of Functioning) | ||||||||
7. PATIENT/ CAREGIVER EDUCATION |
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| Medication management | ||||||||
| Disease process | ||||||||
| Community resources | ||||||||